IndividualActive
Kyle Moore, D.P.M.
NPI 1093155442 · Foot & Ankle Surgery Podiatrist · Crosby, MN
Provider details
- NPI number
- 1093155442
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- PO3825 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
320 East Main Street
Crosby, MN 56441
Phone: (218) 546-7000
Fax: (218) 546-4400
Approximate (ZIP-level) locationGet directions
Mailing address
320 East Main Street
Crosby, MN 56441
Additional practice locations (1)
- 901 45th StreetKimmel BldgWest Palm Beach, FL 33407-2413Phone: (561) 844-5255Fax: (561) 844-5245
Registry dates
- Enumerated
- 2013-06-30
- Last updated
- 2022-07-21
- Certified
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.